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Minnesota rates for HCPCS J7634

Budesonide, inhalation solution, compounded product, administered through DME, concentrated form, per 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.00 / $22.00 / $22.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $22.00 / $35.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.17 / $7.44 / $11.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.17 / $5.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $3.58 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.32 / $1.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $3.17 / $4.09
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.21 / $3.21 / $3.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.64 / $1.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.34